Manager of Revenue Cycle – Physician Partnerships & Collections Optimization

Description

Position Summary:

The Manager of Revenue Cycle – Physician Partnerships & Collections Optimization plays a critical leadership role within our ophthalmology organization, ensuring strategic alignment between revenue cycle functions and physician operations. This role is responsible for serving as a proactive liaison between the revenue cycle team and medical providers.

The Manager of Revenue Cycle Physician Practice Partnership will optimize collections at the point-of-service, oversee and monitor the performance of point-of-service collections, implement automated payment solutions, and provide real-time analytics and financial or revenue cycle process feedback to providers and point-of-service leadership. This role blends project management, relationship building, financial acumen, and operational execution to drive revenue integrity and patient financial satisfaction.

Key Responsibilities:

Physician Partnerships Onboarding and Legacy System Run Out Strategy

• Assess legacy system data to convert financial performance from legacy system to EHA NextGen system.
• Facilitate legacy practice system run-outs of both debit & credit AR. Manage associated stateside & global partner or other vendor resources.
• Manage onboarding tasks (including service items & payer cross walking), expected timelines using Gantt chart tools to ensure on-time integration of new practices and physicians.
• Serve as the primary liaison between the Revenue Cycle team and physicians' offices, translating RCM performance into actionable insights.
• Serve as primary liaison for EHA finance & RCM with legacy system financials
• Educate providers on KPIs, coding and financial benchmarks, payer policies and revenue trends to promote engagement and accountability.
• Create and maintain an RCM directory for distribution throughout the organization, collaborating with various RCM pillars on best practices for communications with offices & issue resolutions.
• Collaborate with EHA EMR integrations for identification of template design and documentation improvement opportunities identified by denials, audit or discretionary adjustments when front-end clinical documentation is the root cause.

Collections & Revenue Optimization

• Analyze and communicate collections performance, coding efficiency, and payer trends to physicians and site leadership.
• Identify underperforming areas and recommend solutions for improving collections, charge capture, and coding compliance.
• Collaborate with operational clinical and billing teams to support clean claim submission and minimal denials.
• Author applicable documentation, coding & collection job aids & distribute to relevant offices.
• Lead implementation and optimization of automated credit/debit card payments.
• Monitor patient credit and debit balances, by MSA / office location, collaborating with patient engagement on billing patient complaints.

"Vital Signs" Monthly Reporting

• Compile monthly pillar “Vital Signs” report to key RCM and / or Operational stakeholders. Vital Signs for Physician Partnership is a comprehensive dashboard tracking engagement, inquiries, and performance.
• Track and analyze physician RCM inquiry email trends, including volume, response time, and resolution outcomes.
• Publish and maintain an evolving FAQ resource for common physician and staff revenue cycle questions.
• Use data from "Vital Signs" to drive accountability, transparency, and continuous improvement across all physician-facing RCM operations.

Requirements

Qualifications:

• Bachelor’s degree in Health Administration, Business, Finance, or related field (Master’s preferred).
• 5+ years of experience in Revenue Cycle Management, with a focus on physician integration and collections.
• Demonstrated experience in physician-facing roles, especially during acquisitions or onboarding.
• Strong understanding of credentialing processes, payer regulations, and coding workflows.
• Proven ability to analyze financial KPIs and communicate them effectively to clinical stakeholders.
• Experience managing or implementing call centers, IVR systems, and automated payment solutions.
• Project management experience, including use of Gantt chart tools or platforms (e.g., Smartsheet, MS Excel, MS Powerpoint etc.).
• Working knowledge of Microsoft products including: MS Excel, MS Word, MS PowerPoint
• Excellent communication, leadership, and cross-functional collaboration skills.

Preferred Skills:

• Experience in ophthalmology or specialty medical practices.
• Working knowledge of revenue cycle systems (e.g., Compulink, NextTech, NextGen, Modernizing Medicine).
• Familiarity with Lean Six Sigma or revenue cycle performance improvement methodologies.